# GENTLE TOUCH DENTAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548345697
- **Authorized official:** LARAE VAN DERSCHELDEN (PRESIDENT)
- **Authorized official phone:** (425) 481-1038

## Contact information

- **Practice address:** 17917 BOTHELL EVERETT HWY, SUITE 305, BOTHELL, WA 98012-6384
- **Practice address phone:** (425) 481-1038
- **Practice address fax:** (425) 483-3158
- **Mailing address:** 17917 BOTHELL EVERETT HWY, SUITE 305, BOTHELL, WA 98012-6384
- **Mailing address phone:** (425) 481-1038
- **Mailing address fax:** (425) 483-3158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6076 | WA | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 06/23/2008